SYMPTOMS:
When blood vessels are injured platelets collect over the injured area and form a plug to prevent further bleeding. This plug is formed by a series of proteins, called clotting factors. People with hemophilia have a mutation in the F8 gene which provides instructions for the enzyme that produces clotting factor and their blood does not properly clot. Major symptoms of hemophilia A are excessive bleeding and easy bruising. Other symptoms that could be experienced:
  • bleeding for long period of time after an accident or injury
  • spontaneous bleeding
The most common place to have bleeding is the joints (knees, ankles, or elbows). Bleeding can also occur in the muscles, or digestive tract.

HOW TO DIAGNOSE HEMOPHILIA A:
The first step is to evaluate the symptoms and review the family history. Other tests include:
  • Physical examination
  • Intrauterine DNA testing
  • Molecular genetic testing
  • Blood test
    • Measure clotting factor level in the blood. If it is below 50 percent of normal, you probably are a carrier and have mild hemophilia.
    • Screening tests to show if the blood is clotting properly.


A person can be healthy (with the gene to produce factor VIII), healthy but a carrier (female without the gene on one x-chromosome), or one with hemophilia A (female without the gene on both x-chromosomes or male without the gene on x-chromosome)